# MARC R DESIDERIO, DC, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164785333
- **Authorized official:** DR. MARC RONALD DESIDERIO D.C. (CHIROPRACTOR)
- **Authorized official phone:** (732) 671-9005

## Contact information

- **Practice address:** 9 LEONARDVILLE RD, MIDDLETOWN, NJ 07748-2360
- **Practice address phone:** (732) 671-9005
- **Practice address fax:** (732) 671-9006
- **Mailing address:** 9 LEONARDVILLE RD, MIDDLETOWN, NJ 07748-2360
- **Mailing address phone:** (732) 671-9005
- **Mailing address fax:** (732) 671-9006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 38MC00569900 | NJ | Yes |

## Other

- **Enumeration date:** 06/21/2012
- **Last updated:** 06/21/2012